Agonist (P1) Antibody Converts Stem Cells into Migrating Beta-Like Cells in Pancreatic Islets

Tissue regeneration is the ultimate treatment for many degenerative diseases, however, repair and regeneration of damaged organs or tissues remains a challenge. Previously, we showed that B1 Ab and H3 Ab induce stem cells to differentiate into microglia and brown adipocyte-like cells, while trafficking to the brain and heart, respectively. Here, we present data showing that another selected agonist antibody, P1 antibody, induces the migration of cells to the pancreatic islets and differentiates human stem cells into beta-like cells. Interestingly, our results suggest the purified P1 Ab induces beta-like cells from fresh, human CD34+ hematopoietic stem cells and mouse bone marrow. In addition, stem cells with P1 Ab bound to expressed periostin (POSTN), an extracellular matrix protein that regulates tissue remodeling, selectively migrate to mouse pancreatic islets. Thus, these results confirm that our in vivo selection system can be used to identify antibodies from our library which are capable of inducing stem cell differentiation and cell migration to select tissues for the purpose of regenerating and remodeling damaged organ systems.

periostin (POSTN), which is of considerable interest because of this protein's known role in organizing wound healing and mesenchymal cell proliferation [5,6].
Given our increasing understanding of the role that beta-like cells play in metabolic diseases, such as diabetes, reagents that can increase their numbers in the islet may be therapeutically important.

Mouse Strains and Cell Lines
The C57BL/6J and B6.Cg-Gt(ROSA)26Sor tm9(CAG-ttdTomato)Hze /J mouse strains were purchased from Jackson Laboratories (USA). The 293T cell line was cultured in DMEM medium with 10% FCS and penicillinstreptomycin (Gibco-Invitrogen, USA). The Expi293F human cell line was cultured in the Expi293 Expression System (Gibco-Invitrogen). Human CD34 + hematopoietic stem cells (All-Cells) and mouse bone marrow cells were maintained in StemSpan Serum-Free Media with CC100 human cell culture cytokine cocktail (STEMCELL Technologies, Canada), and only serum-free media, or RPMI with 1% Fetal Bovine Serum. Mice were housed and handled according to protocols approved by the Institutional Animal Care and Use Committee at Hannam University (HNU2021-6).

Combinatorial Antibody Library (ScFv Format) and Transduction
Single-chain Fv (ScFv) genes were derived from a naïve human combinatorial antibody library (1 × 10 11 library diversity) and transferred into a lentiviral plasmid. The lentiviral antibody library was produced in the 293T cell line by co-transfection of lentiviral plasmids with the pCMVdR8.91 and pVSVg packaging plasmids at a 1:1:1 mass ratio. The mouse bone marrow cells were then incubated with the lentiviral antibody library for 3 days at 37°C.

Mouse Bone Marrow Transplantation
Mouse bone marrow cells were transduced with the ScFv lentivirus library at a multiplicity of infection (MOI) of 2 and transplanted to lethally irradiated mice. The recipient mice with transplanted bone marrow were housed for 1-6 weeks. The pancreatic islets were perfused, fixed, harvested, and frozen at -80°C. The antibody DNA from the pancreatic islets was recovered by PCR with typical primer pairs customized for the lentiviral plasmid, and analyzed by electrophoresis.

Purification of P1 Ab Proteins
The plasmid containing the ScFv-Fc affinity tag protein was transfected into human Expi293F cells for transient expression. P1 Ab proteins from the pooled supernatants were purified using HiTrap Protein G columns with an ÄKTAxpress Purifier FPLC System (GE, USA). The elution buffer was exchanged to phosphate-buffered saline (PBS) pH 7.4 and stored at 4°C.

Western Blot
Cells were harvested with PBS and then lysed in cold RIPA lysis buffer. The cell lysates were centrifuged at 12,000 ×g for 15 min at 4°C. The proteins were denatured by boiling for 5 min at 95°C in SDS sample buffer, separated by SDS-polyacrylamide gel electrophoresis, and then transferred to nitrocellulose membranes using the Trans-Blot Turbo Transfer System (Bio-Rad, USA). For blocking, membranes were placed in tris-buffered saline with Tween 20 (TBST) containing 5% BSA for 30 min before being incubated with antibodies for 1 h. After washing the membranes several times with TBST, the blots were incubated with P1 Ab, POSTN protein (R&D Systems, USA), or secondary HRP-conjugated anti-β-actin antibody for 1 h. The membranes were then washed with TBST and developed with an enhanced chemiluminescence system. Phosphorylation was used with phospho-AKT and ERK (Cell Signaling Technology, USA).

ELISA Assay
Human CD34 + hematopoietic stem cells were incubated with the selected P1 antibody for two weeks in vitro, prior to quantifying the level of insulin in the culture supernatant using the Human Insulin ELISA Kit (Invitrogen, USA) according to the manufacturer's instructions.

RNA Sequencing and Data Analysis
Total RNAs were purified from three replicates of isotype antibody-treated human CD34 + hematopoietic stem cells, human CD34 + hematopoietic stem cells treated with P1 Ab, and human CD34 + hematopoietic stem cells treated with vehicle Ab. Total RNA samples were converted into RNAseq libraries using the NEBNext Ultra Directional RNA Library Prep Kit for Illumina according to the manufacturer's instructions. Statistical analyses were performed by edgeR (Bioconductor), and the differentially expressed genes were analyzed with falsediscovery rates < 0.05, absolute fold change > 2 and averaged TPM (transcripts per million) > 1 in the two different conditions.

Statistical Analysis
The data are expressed as the mean ± SD. Statistical significance was determined using a Student's t-test. pvalues of <0.05 were considered significant.

In Vivo Selection of Antibodies that Migrate to Pancreatic Tissue
We previously designed an antibody selection system to select antibodies that manage cell fates using ScFv combinatorial libraries in vitro [1,7,8]. Additionally, a novel in vivo selection system was applied to isolate antibodies that induce stem cells to differentiate into microglia-like cells and adipocyte-like cells and selectively traffic to the brain and heart, respectively [2,3]. We further investigated (Fig. 1) an unbiased in vivo selection system to isolate an agonist antibody that induces mouse bone marrow cells to migrate to the pancreatic tissue. To do this, an unbiased ScFv antibody library (membrane-tethered format) in lentiviruses containing about 10 8 distinctive combinations was used to infect total mouse bone marrow cells. The infected bone marrow cells were then transplanted into lethally irradiated mice to examine cell migration to the pancreatic islet. After 7 days, pancreatic tissues of mice perfused with PBS were harvested to extract genomic DNA. The human ScFv sequences that integrated into the cells were recovered by PCR. The P1 antibody gene was selected for further study.

The Selected P1 Antibody Induces Migration of Cells to the Islet.
To show whether the P1 antibody could induce cell migration from the bone marrow to the islet, the P1 antibody gene was cloned into a mammalian expression plasmid and the P1 Ab was purified. Donor tdTomato + bone marrow cells were adoptively transferred into irradiated C57BL6 mice. Then, P1 Ab (50 µg/mouse intraperitoneal injection (i.p.), two times/week) was injected into transplanted wild-type mice for 3 weeks. The pancreas was perfused, harvested, and analyzed for the presence of cells expressing tdTomato + (Fig. 2A). Harvested islets were analyzed by fluorescence microscope. Microscope images showed donor tdTomato + cells from mice injected with P1 Ab migrated to the islet (Figs. 2B and 2C).

Purified P1 Antibody Differentiates Mouse Bone Marrow Stem Cells into Beta-Like Cells
To verify that the P1 antibody genes induced bone marrow cells to traffic to the islet, we stained harvested islet cells with DAPI, anti-Insulin, and PDX-1. There were significantly more tdTomato + Insulin + PDX-1 + cells from mice injected with P1 Ab in the islets of irradiated mice as compared to vehicle antibodies (Fig. 3A). We next investigated whether migrated islet cells could be alpha cells. To this end, islet cells were stained with DAPI, anti-Insulin, and glucagon. However, glucagon, the alpha cell marker, was not detected on the tdTomato + Insulin + cells (Fig. 3B).  1. Scheme for the in vivo phenotype selection of the P1 antibody that induces differentiation and migration of mouse HSCs. Genes from a human ScFv phage library (10 8 members) were cloned into a lentiviral vector to make a lentiviral membrane-tethered library in which antibody molecules are attached to the plasma membrane and displayed on the cell surface. Total mouse bone marrow cells were infected with the antibody library in vitro and transplanted into lethally irradiated C57BL/6J mice. The system is autocrine based because each cell has a different antibody and the putative target. After 7 days, the mouse pancreatic tissues were harvested and analyzed by PCR to identify any antibody genes in cells that traffic to the islet. J. Microbiol. Biotechnol.

Fig. 2. Antibody induced differentiation of HSCs into beta-like cells. (A) Scheme of the in vivo migration of cells
from the bone marrow to the islet. tdTomato+ bone marrow cells were adoptively transplanted into lethally irradiated wildtype mice. P1 Ab (50 µg/mouse, i.p., two times/week) was injected into transplanted wild-type mice for 3 weeks. The mice were perfused, harvested, and analyzed by fluorescence microscope. (B-C) Significantly more tdTomato + cells were identified by fluorescence microscope in the treated tissues as compared to controls (untreated tdTomato + cells). These assays were repeated 3 times. The white box indicates the region magnified in the image to the right. Scale bars = 50 μm.

Fig. 3. Antibody induced differentiation of bone marrow cells into beta-like cells. P1
Ab (50 µg/mouse, i.p., two times/week) was injected into lethally irradiated wild-type mice. After 3 weeks, the mice were perfused with PBS prior to harvesting the islets for immuno-fluorescence histochemistry. Islets were stained with DAPI, anti-Insulin, PDX-1 (beta cell marker), and glucagon (alpha cell marker). (A) Significantly more Insulin + and PDX-1 + staining was identified in the P1 Abtreated dTomato + tissues as compared to controls, suggesting that the beta-like cells migrated from the bone marrow to the islet. (B) Glucagon was not detected on the dTomato + Insulin + cells. Scale bars = 50 μm.

The Selected P1 Antibody Differentiates Human Stem Cells into Insulin-Producing Beta-Like Cells
To investigate if purified P1 antibody could transform cells, human CD34 + hematopoietic stem cells were incubated with the selected P1 antibody for two weeks in vitro. The purified P1 antibody induced human CD34 + hematopoietic stem cells to differentiate into cells with a cellular morphology resembling beta-like cells (Fig. 4A). To observe the in vitro effect of P1 on insulin production, we quantified insulin levels and found significantly more in P1 Ab-treated cells compared to vehicle antibody-treated cells (Fig. 4B).

Identification of a Novel Target
To determine the target protein captured by the P1 antibody, P1 antibody was produced in human Expi293F cells. Purified P1 antibody was mixed with mouse bone marrow, and P1 antibody-antigen complexes from cellular lysates were bound on a protein A/G column. Immune complex proteins that reacted with the antibody were recognized by silver staining of SDS-PAGE and immunoprecipitation mass spectrometry (MS). Six candidate proteins from peptide hits were selected above the background threshold. Periostin (POSTN) was one of the top hits from a homology search. POSTN was verified to be the target antigen of the P1 Ab by western blotting. The P1 Ab bound to purified POSTN protein, as well as mouse bone marrow, by western blotting (Fig. 5A). RNA transcripts of human CD34 + hematopoietic stem cells treated with purified P1 Ab were also analyzed and compared to the non-treated control cells in vitro. To determine transcripts that are expressed in beta-like cells, we compared our induced cells to expression data from previous reports [9]. Remarkably, we found genes in our induced cells that are highly expressed in beta-like cells, including IGTB1. These findings are consistent with data published by other groups (Fig. 5B). To determine whether binding of P1 Ab leads to the activation of signaling pathways, human CD34 + hematopoietic stem cells were treated with the P1 Ab, and cell lysates were assessed by western blotting with antibodies against non-phosphorylated and phosphorylated (p-) AKT and ERK. Consistent with their known role in beta cell differentiation, induction of p-AKT and suppression of p-ERK were observed in the cells stimulated with P1 Ab, but not with a vehicle antibody control (Fig. 5C).

Discussion
In this study, we report on the selection of an agonist antibody that induces bone marrow cells to differentiate into beta-like cells. The identification of POSTN as the target antigen and a growing body of evidence suggest that POSTN, in addition to its more mechanical role as an extracellular matrix protein involved in tissue remodeling and bone regeneration, also plays a role in cell proliferation, stem cell activation, inflammatory reactions, and cellular signaling [10][11][12][13][14][15].
This surface localization is relevant to our studies using the lentivirus library to generate beta-like cells that migrate to the islet, because the antibodies are presented on the cell surface plasma membrane where they can bind to a membrane-related protein on a neighboring cell [7]. Furthermore, we have shown that extracellular soluble antibody added to stem cells induces the same differentiation program. Indeed, there is a certain parallelism with the role that periostin plays in signaling through integrin receptors, which promote cell adhesion, migration, and proliferation, and the putative migration of beta-like cells to sites of pancreatic injury [12,15]. In both cases, periostin may be responsible for signal induction, possibly by generating unique chemotactic factors.
An issue raised by these studies concerns whether the bone marrow is a natural site for generation of beta-like cells. Beta cells derived from endoderm during embryonic and fetal development and pancreatic buds are induced, expanded, and differentiated into beta cells and other cells, such as alpha cells, delta cells, and duct cells [16][17][18][19]. Although beta cells can be derived from pluripotent stem cells, the key question that remains is, under what conditions do bone marrow-derived, beta-like cells migrate to the pancreatic islet in adult animals? It is now generally accepted that stem cells will migrate to sites of injury through stem cell homing [20,21].
We don't yet completely understand how an antibody agonist for periostin induces cell differentiation. Periostin is a marker of migrating cells, and in addition to its role in the mechanical aspects of cell migration, it is involved in promoting cell proliferation and differentiation [10,22] as well as bone development and reconstruction by mesenchymal stem cells [22,23]. It is also upregulated in allergies, inflammation, and cancer [11,13]. For instance, periostin is required for the integrin-β1 receptor to suppress cell cycle arrest and apoptosis in in vivo and in vitro models [12]. The role of periostin in cell signaling is believed to be in the organization of signaling complexes inside the cell [24,25].
Since periostin is on the cell surface as well, a similar organizing principle could explain our findings that soluble anti-periostin induces cell signaling in human CD34 + hematopoietic stem cells. In this case, the antibody could either stabilize or destabilize the complex leading to signal transduction. We are presently studying the nature of the members of the periostin complex on the cell surface of bone marrow cells.
Finally, in terms of migration and differentiation, a critical question remains about what comes first. Do cells migrate and then differentiate, or differentiate and then migrate? The mechanistic role of P1 Ab on periostin remains to be investigated in the future, separate study.